Examining Disparities in Alcohol Use Testing on Burn Patient Admissions: A Call for Association Guidance.

Burn injuries are associated with as well as complicated by alcohol misuse. To date, there are no stated guidelines for alcohol testing upon burn patient admissions. This study investigated if there were associations between race and testing for alcohol upon burn admissions, controlling for demographics, burn severity (degree), and other circumstances associated with burn injuries. This study was a secondary analysis of 32 258 cases from the National Burn Data Repository. The dependent variable was whether a burn case was screened for alcohol use, and independent variables were age, gender, whether physical abuse was reported, mental health comorbidities, marital status, the severity of burns, whether the injury was work-related, injury circumstances, and etiology of injury. Controlling for independent variables, race was associated with an increased probability of having been screened for alcohol use on admission to a burn center. Data reflecting alcohol screening/testing results reported in the NBR were not included in the analysis. Study results were consistent with the possibility of bias and may have influenced decisions to screen/test for alcohol misuse/abuse in reported burn cases. It is argued these findings support the recommendation that guidelines for alcohol testing of burn patients are warranted and would benefit from specific guidance from the American Burn Association.

Reproductive Autonomy in Appalachia: An Investigation into Perceived Contraceptive Pressure.

The reproductive autonomy of persons who can give birth can be impeded through forms of interpersonal violence and coercion. Moreover, macro-level factors (e.g., poverty, discrimination, community violence, legislative policies) may impede the reproductive autonomy of entire communities. This study investigates a form of violence we term perceived contraceptive pressure in Appalachia, an understudied region of the Eastern U.S., regarding reproductive health and decision-making. Through targeted Meta advertising, participants (N = 632) residing in Appalachian zip codes completed an online survey on reproductive health. The focus of this study was to investigate the prevalence of perceived contraceptive pressure, who was at increased risk of experiencing pressure, and the source(s) of perceived pressure. Binomial regressions were conducted on three different dependent variables: perceived pressure to be sterilized, perceived pressure to use birth control, and perceived pressure not to use birth control. Approximately half of all respondents (49.5%) reported experiencing at least one type of pressure targeting contraceptive decision-making. The most prevalent source of perceived pressure to use birth control was from the healthcare provider (67.4%), and the most prevalent source of perceived pressure not to use birth control was the respondent's partner (51.1%). Recommendations for providers serving clients in the Appalachian region include pursuing education regarding contraceptive pressure at the individual level and macro-level. In addition, Appalachian residents may benefit from educational programming on reproductive autonomy, healthy relationships, and how to navigate pressure in relationships.

How spousal physical abuse impacts suicidal ideation among community-dwelling older adults: the effects of protective factors.

PURPOSE: The purpose of this study is to examine the impact on suicidal ideation (SI) of having experienced spousal physical abuse and the possible effects of protective factors on the relationship between depressive symptoms and SI among community-dwelling older adults. METHODS: Using Wisconsin Longitudinal Study data (N = 6,125), a path analysis was conducted to examine the impact of spousal physical abuse on SI and test the possible effects of protective factors. RESULTS: First, the experience of spousal physical abuse had a significant impact on both depressive symptoms and SI. Second, problem-focused coping, social support, and having a family confidant reduced depressive symptoms directly and mitigated SI indirectly. Third, emotional-focused coping had both direct and indirect effects on depressive symptoms and SI, leading to increases in both. Fourth, although the practical significance may be small, emotional-focused coping worked as a moderator between depressive symptoms and SI. CONCLUSIONS: Interventions are necessary to increase protective factors and decrease risk factors of depressive symptoms and SI among older adults. In addition, regular screening tests of Intimate Partner Violence, depressive symptoms and SI are recommended.

A Measurement Equivalence Study of the Family Bondedness Scale: Measurement Equivalence Between Cat and Dog Owners.

About 38.4% of U.S. households include a dog, and 25.4% a cat, as pets, and a recent poll suggested over 90% of pet owners feel their companion animal is a family member. Numerous studies have suggested pet ownership has physical, mental, and social health benefits, though much of this research has yielded mixed results. Results of a recent review suggested significant measurement problems in human-animal interaction (HAI) and human-animal bond (HAB) research, including the absence of validity evidence, overly long measures, lack of evidence for measurement equivalence across species of pets, and measures lacking a basis in important psychological, family, and attachment theories. This article describes the development and results of a measurement equivalence study of a new measure of the HAB called the family bondedness scale (FBS). This scale, and the research results, address multiple gaps in HAB measurement. Results of multi-group confirmatory factor analyses with multiple covariates indicated the scores on the FBS showed equivalence between cat and dog owners. The use of the FBS in both veterinary research and practice, as well as in research and practice in other disciplines, such as social work and psychology, are considered.

Protective factors against suicidal ideation among community-dwelling older adults with experience of spousal physical abuse: focusing on direct and indirect protections.

Purpose of the Study: The current research investigated the impact of protective factors - problem-focused coping, emotion-focused coping, having as a confidant either family or friends, and social support from friends - on suicidal ideation among older adults using Wisconsin Longitudinal Study (WLS) data. This study also investigated the indirect effects of protective factors on suicidal ideation (hereafter SI) as mediated by depressive symptoms among older adults who have experienced physical abuse from a spouse or romantic partner.Method: Data from The Wisconsin Longitudinal Study (WLS) were used. The sampled respondents were 475 men and women ages 64 to 65 who reported a history of being physically abused by a spouse or romantic partner. A path analysis using Mplus was employed to identify protective factors against SI.Results: Problem-focused coping and social support had negative indirect effects on SI as mediated by depressive symptoms. Emotion-focused coping had positive direct and indirect effects on SI.Conclusion: Tailored services to boost protective factors and regular screening tests are imperative to reduce depressive symptoms and SI among older adults who have experienced spousal or romantic partner physical abuse.

Children's Knowledge of Genital Anatomy and Its Relationship With Children's Use of the Word "Inside" During Questioning About Possible Sexual Abuse.

This study was designed to examine the relationship between children's understanding of their genital anatomy and their use of the word "inside" in response to questions about genital touch during a forensic medical examination. This study involved a secondary data analysis of 674 records of children at a sexual abuse clinic in a large city in a southern state. Data were analyzed using contingency table, binary logistic, and multinomial logistic regression analysis methods. An association between children's understanding of genital anatomy and their use of the word "inside" to describe genital touch was found. Children's age and development contributes to their overall understanding of genital anatomy, and their knowledge of genital anatomy appears to influence how they answer questions regarding genital touch. This finding could play an important role in sexual abuse cases in states where the definition of rape includes penetration of any bodily opening, including labial penetration.

Variability in the Results of Meta-Analysis as a Function of Comparing Effect Sizes Based on Scores From Noncomparable Measures: A Simulation Study.

Meta-analysis is a significant methodological advance that is increasingly important in research synthesis. Fundamental to meta-analysis is the presumption that effect sizes, such as the standardized mean difference (SMD), based on scores from different measures are comparable. It has been argued that population observed score SMDs based on scores from different measures A and B will be equal only if the conjunction of three conditions are met: construct equivalence (CE), equal reliabilities (ER), and the absence of differential test functioning (DTF) in all subpopulations of the combined populations of interest. It has also been speculated the results of a meta-analysis of SMDs might differ between circumstances in which the SMDs included in a meta-analysis are based on measures which all met the conjunction of these conditions and that in which the conjunction of these conditions is violated. No previous studies have tested this conjecture. This Monte Carlo study investigated this hypothesis. A population of studies comparing one of five hypothetical treatments with a placebo condition was simulated. The SMDs in these simulated studies were based on true scores from six hypothetical measures. The scores from some of these measures met the conjunction of CE, ER, and, the absence of DTF, while others failed to meet CE. Three meta-analyses were conducted using both fixed effects and random effects methods. The results suggested that the results of meta-analyses can vary to a practically significant degree when the SMDs were based on scores from measures failing to meet the CE condition. Implications for future research are considered.

The relationship between suicidal thinking and dating violence in a sample of adolescent abortion patients.

BACKGROUND: The relationship between suicidal thinking and adolescent dating violence has not been previously explored in a sample of adolescent abortion patients. AIMS: This paper highlights a study where the relationship between dating violence and severity of suicidal thinking was examined in a sample of 120 young women ages 14-21 seeking to terminate an unintended pregnancy. METHODS: The Multidimensional Adolescent Assessment Scale and the Conflict in Adolescent Relationships Scale was used to gather information about psychosocial problems and dating violence so that the relationship between the two problems could be examined, while controlling for the other psychosocial problems. RESULTS: The results suggest that dating violence was related to severity of suicidal thinking, and that the magnitude of this relationship was moderated by the severity of problems with aggression. CONCLUSIONS: Specifically, as the severity of participant's general problems with aggression increased, the magnitude of the relationship between dating violence and severity of suicidal thinking increased. Limitations of the study and implications for practice are discussed.

The (non)comparability of the correlation effect size across different measurement procedures: a challenge to meta-analysis as a tool for identifying "evidence based practices".

Meta-analysis is becoming a principal tool for research synthesis and for the identification and justification of evidence based practices. A fundamental assumption in meta-analysis is that effect sizes based upon different measures are comparable. Recent work has challenged this assumption in the case of the standardized mean difference. In this article it is shown that population universe (true) score level correlation effect sizes, for the relationship between two constructs A and B, based upon different measures will be comparable only if construct validity invariance holds across the measures used to make inferences to A and the measures used to make inferences to B. The results of a simulation study are also reported which show that the results of a meta-analysis may be significantly and adversely affected by violations of construct validity invariance. Finally, it is concluded that the theoretical results obtained in this article, and the results of the simulation study, combine to suggest that the role of meta-analysis in the synthesis of social work research, and in the identification of evidence based practices, be de-emphasized until important questions about the sensitivity of meta-analysis to violations of construct validity invariance are answered.

The relationship between dating violence and psychosocial problems in a sample of adolescent pregnancy termination patients.

The relationship between dating violence and 13 psychosocial problems, conceptually organized into three symptom clusters--depressive, family problem, and posttraumatic stress--was investigated in a sample of adolescent pregnancy termination patients, ages 14 to 21. Results of a multivariate multiple-regression analysis indicated that, after controlling for age, ethnicity, general aggression problems, and problems with peers, dating violence was significantly related with the symptoms clusters. At the univariate level, the results suggested that dating violence was significantly related with self-esteem problems, guilt, and suicidal thinking from the depressive symptoms cluster and with guilt and stress from the posttraumatic stress cluster. The implications of these findings are discussed.

Policy recommendations for the use of victim-offender mediation to redress criminal actions.

Understanding how to respond effectively and efficiently to crime victims and their offenders, and identifying what policies assist victims in having their victimization redressed is a major social concern. Social workers have contact with these vulnerable populations in many different ways, yet the social work profession, in general, is unfamiliar with how to redress victims through restorative justice. Restorative justice is an innovative method of viewing crime, and a paradigm shift is required when considering the application and implication of various forms of restorative justice. It is imperative to keep various justice options available, as the effects of crime are detrimental. Though reported rates of juvenile and adult crime have decreases during the last decade, the costs associated with crime to society remain high. Many victims do not report crimes, and if professionals such as medical personnel fail to identify crimes, then these costs may be even higher than currently reported. Regardless, however, of the costs associated with crime, victims deserve having justice evaluated, at least in part, in terms of what they need and want. Likewise, it is imperative to evaluate the effects of victim- offender mediation (VOM), a form of restorative justice, on offenders as they too deserve potential rehabilitation and the chance to redress the harm they caused their victim(s). This paper discusses crime effects, provides an overview of VOM, and concludes with policy recommendations concerning the use of victim-offender mediation.